Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Christopher Wilson Modert, DO

Individual provider Family Medicine Physician · NPI 1477527604

Christopher Wilson Modert, DO is a Family Practice in Mount Vernon, Illinois. Qualified in 1987, 39 years ago. Practices with Modert Family Practice Ltd, a 2-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
39
Licensed in
IL
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1 Doctors Park Rd Ste C
Mount Vernon, IL 62864-6251
Phone: (618) 244-1234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036079242 (IL)

Record details

NPI number1477527604
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 14, 2006
Last updated in NPPESNovember 4, 2020
Certification dateNovember 4, 2020
Mailing addressPo Box 802, Mount Vernon, IL 62864-0017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Modert Family Practice Ltd — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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